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North Carolina rates for HCPCS 90713

Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.27 / $48.64 / $129.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $50.47 / $69.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.17 / $35.17 / $49.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.10 / $50.10 / $50.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.10 / $50.10 / $53.53
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.34 / $43.82 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.12 / $31.12 / $31.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.73 / $52.78 / $53.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.85 / $100.00 / $107.06